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HomeMy WebLinkAboutApplication-PermitI Garfield County Building & Planning Department 108 8th Street, Suite #401 Glenwood Springs, Co. 81601 Office:970·945·8212 Fax: 970·384-3470 Inspection Line: 970·384-5003 Building Permit No. 10835 Parcel No: _ ___::2:_:_:17.9-191-00-511 Locality: Job Address: ---____ R92, T6, Sec20 offcr315, Ri~e ___ _ Use of Building: ------· storage for water storage facility Owner: Brynildson, S.<:_o:__tt;_;&c..:L:::cin'-'d.:c..a ~-----· Contractor: EC Electric Inc --~. ---- Fees: Plan Check: 99.61 Septic: Bldg Permit: 153.25 Other Fees: Total Fees: $ 252.86 ~-·-"'"'- Clerk: ~~i Date: 2/8/2008 --··· I .j ~ ~ .. ~ ~ I GARFIELD COUNTY BUILDING PERMIT APPLICATION 1 08 gth Street, Suite 401, Glenwood Springs, Co 8160 I Phone: 970-945-8212 I Fax: 970-384-3470 I Inspection Line: 970-384-5003 www.garfield-county.com Parcel No: (this information is available at the assessors office 970~945-9134) 2179-191-00-511 2 Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description n-J (I' IQ_ 3 ( s-/d_, J-r:'n NWNW Section 20, Township 6 South, Range 92 West, 6th P.M. "!!X~· ' ~ ~ 3 4 5 . 6 7 8 Lot No: 511 Owner: (property owner) Block No: 00 Subd./ Exemption: v- N/A ~ntero Resources Piceance Corporation MailingAddress:1625 17th street, Ste 300, Denver, CO 80202 Ph: 303-357-7310 -~ontnictor: EC Electric, Inc. Architect I Engineer: Samuel Engineering, Sq. Ft. of Building: 192 sq. ft. Use of Building: Inc. MailingAddress:747 W. Wn:t.te Ave. Grand Junction, CO 81501 Mailing Address: 84SO E. crescent PJ\_wy Ste 200, Greenwood Village, co 80111 Ph: 970-241-3302 Ph· . 303-714-4840 Sq. Ft. or Acres of Lot: -'1 ~ 0! [{ Height: H. 67 aso:es ,.:Ji d-b' TNJa, 14 ft. AltPh; 970-625-9922 AltPh: 970-986-5192 AltPh: Fax: 720-482-8327 No. of Floors: 1 9 ~e~:~;eeW~~~ Emergency Backup Generator and associated EquipmeS1:;;;~ f~~i~~t;,;;CLEJ(? .;:;;:<I ;..J,, Construct new 16 1 x 12 1 building and concrete foundation ··1 10 Class of Work: o Alteration o Addition 11 Garage: Septic: o Attached o Detached o!SDS o Community 12 Owners valuation of Work: $ 40,000.00 NOTICE A..l!.t.!!.2.!:. This application for a Building Pennit must be signed by the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the Owner, must be provided with this Application. Legal Atcess. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department. Other Permits. MultiJ>le separate permits may be required: (I) State Electrical Pem1it, (2) County ISDS Permit, (3) another penni! required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Penni\". Void J>ermit. A Building Pennit becomes nuJI and void if the work authorized is not commenced within ISO days of the date ofissuance and if work is suspended or abandoned for a period of ISO days afier commencement. CERTIFICATiON I hereby certify that I have read this Application and that the information contained above is true and correct. I understand that the Building Departlll.ent accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Pem1it will be issued granting permission to me, as Owner, to cOJ)Struct the structure(s) and facilities detailed on the submittals reviewed by the Building Department. In consideration of the issuance of the Building Permit, l agree that J and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, ISDS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if tl1e location, construction or use of the stnJCture(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Department to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (I) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structme(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this Application, including submillals, and inspections of the work by the Building Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibility for compliance witl1 federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect designer, engineer and! or builder. I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: ~~~~~~L~~~~~ .. ~~~~------~IU2/o=-~-----------------owN£Rs SIGNATURE DATE STAFF USE ONLY 5;J;;;s:'~ ~ c7JV7-'i>'j Adjusted Valuation: Plan Check q; (,I Permit Fee: 'J-\; Manuhomei Mise Fees: I(, 5 io 'f,i-\~-~ cf ISDS Fe/5 Total Fees: &',Jrt Fees Paid: );~'~ \OiEate: ISDS No & Issued Date: 9--~'L ltt "'?:>~ ·"':i) SetbaclG: OCCG.-oup: ConstType: Zoning: f-\ l'C~ BLDG DEPT: }}J PL~G~EPTV lA I l-2,( -~X" 1-3\-0k APP®V. U), • DATE AP DATE \j VJ '--t/ The following items are required by Garfield County for a final Inspection: I) A final Electrical Inspection from the Colorado State Electrical Inspector. 2) Permanent address assigned by Garfield County Building Department and posted at the structure and where readily visible from access road. 3) A finished roof; a lockable building; completed exterior siding; exterior doors and windows installed; a complete kitchen with cabinets, sink with hot & cold running water, non-absorbent kitchen floor covering, counter tops and finished walls, ready for stove and refrigerator; all necessary plumbing. 4) All bathrooms must be complete, with washbowl, tub or shower, toilet, hot and cold running water, non-absorbent floors, walls finished, and privacy door. 5) Steps over three (3) risers, outside or inside must be must have handrails. Balconies and decks over 30" high must be constructed to all IBC and IRC requirements including guardrails. 6) Outside grading completed so that water slopes away from the building; 7) Exceptions to the outside steps, decks, grading may be made upon the demonstration of extenuating circumstances., i.e. weather. Under such circumstances A Certificate of Occupancy may be issued conditionally. 8) A final inspection sign off by the Garfield County Road & Bridge Department for driveway installation, where applicable; as well as any final sign off by the Fire District, and/or State Agencies where applicable. A CERTIFICATE OF OCCUPANCY (C.O.) WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. A C.O. MAY TAKE UP TO 5 BUSINESS DAYS TO BE PROCESSED AND ISSUED. OWNER CANNOT OCCUPY OR USE DWELLING UNTIL A C.O. IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES UNTIL ABOVE CONDITIONS ARE MET. I understand and agree to abide by the above conditions for occupancy, use and the issuance of a C.O. for the building identified in the Building Permit. DATE VALUATION FEE DETERMINATION Applicant Address Date .=B::.ryn=il:.::d;;:;SO;:,n~=-;---,;r:::-:-:-'-;;-----Subdivision .:,;nwn-::7w7.:7:se;.::c-=20"-"-TS::..::.6 -tj-'~-"A"'-~=w. -=-· ___ Lot/Block ..:1:.:/3'"1'-'i2:::0c.::0.::.8 __ ---'---------Contractor Finished (Livable Area): Main Upper Lower Other Total Basement: Unfinished Square Feet Valuation Conversion of Unfinished to Finished Total Valuation Garage: Valuation Crawl Space Valuation Decks/ Patios Valuation Covered Open Type of Construction: Occupancy: Valuation Total Valuation sf sf sf sf X $74.68 0 sf sf X $41.00 sf X $33.68 sf X $18.00 sf X $9.00 sf X $24.00 sf X $12.00 Commercial 192 sf X $39.88 sf X sf X sf X sf X sf X ec electric 0.00 0.00 0.00 0.00 0.00 7,656.96 7,656.96 GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS FOR CONSTRUCTION OF COMMERCIAL OR MULTI-FAMILY RESIDENTIAL BUILDINGS Including NEW CONSTRUCTION ADDITIONS ALTERATIONS And MOVED BUILDINGS In order to understand the scope of the work intended under a permit application and expedite the issuance of a permit it is important that complete information be provided. When reviewing a plan and it's discovered that required information has not been provided by the applicant, this will result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor shall be required to provide this information before the plan review can proceed. Other plans that are in line for review may be given attention before the new information may be reviewed after it has been provided to the Building Department. Please review this document to determine if you have enough information to design your project and provide adequate information to facilitate a plan review. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. Any project with more than ten (10) occupants requires the plans to be sealed by a Colorado Registered Design Professional. To provide for a more understandable plan and in order to determine compliance with the building, plumbing and mechanical codes, applicants are requested to review the following checklist prior to and during design. Plans to be included for a Building Permit must be on draft paper at least 18"x 24'"' and drawn to scale. Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with decks, balcony steps, hand rails and guard rails, windows and doors, including the finish grade and original grade 1 line. A section showing in detail, from the bottom of the footing to the top of the roof, including re-bar, anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation, sheeting, house-rap, (which is required), siding or any approved building material. Engineered foundations may be required. Check with the Building Department. A window schedule. A door schedule. A floor framing plan, a roofing framing plan, roof must be designed to withstand a 40 pound per square foot up to 7,000 feet in elevation, a 90 M.P.H. windspeed, wind exposure B or C, and a 36 inch frost depth. All sheets need to be identified by number and indexed. All of the above requirements must be met or your plans will be returned. · All plans submitted must be incompliance with the 2003 IBC, IPC, IMC, IFGC, and IFC. Applicants are reqnired to indicate appropriately and to snbmit completed checklist at time of application for a permit: I. Is a site plan included that identifies the location of the proposed structure, additions or other buildings, setback easements, and utility easements showing distances to the property lines from each corner of the proposed structure prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Slopes of 30% or more on properties must be show on site plan. (NOTE: Section 106.2) Any site plan for the placement of any portion of a structure within 50 ft. of a property line and not within a previously surveyed building envelope on a subdivision final plat shall be prepared by a licensed surveyor and have the surveyors signature and professional stamp on the drawing. Any structure to be built within a building envelope of a lot shown on a recorded subdivision plat, shall include a copy of the building envelope as it is shown on the final plat with the proposed structure located within the envelope. Yes X 2. Does the site plan when applicable include the location of the l.S.D.S. (Individual Sewage Disposal System) and distances to the property lines, wells (on subject property and adjacent properties), streams or water courses? This information must be certified by a licensed surveyor with their signature and professional stamp on the design. Yes Not necessary for this project X 3. Does the site plan indicate the location and direction of the State, County or private road accessing the property? Yes X 4. Is the l.S.D.S. (Individual Sewage Disposal System) designed, stamped and signed by a Colorado Registered Engineer? Yes Not necessary for this project X 2 5. Are the plans submitted for application review construction drawings and not drawings that are stamped or marked identifYing them as "Not for construction, for permit issuance only", "Approval drawings only", "For permit issuance only" or similar language? Yes X Not necessary for this project __ _ 6. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the building code or per stamped engineered design? Yes_x_ Not necessary for this project __ 7. If the building is a pre-engineered structure, is there a stamped, signed engineered foundation plan for this building? Y es_x_ Not necessary for this project __ 8. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces and the clearances required between wood and earth? Yes __ Not necessary for project_X_ 9. Do the plans indicate the size and location of the ventilation openings for the attic, roof joist spaces and soffits? Yes __ Not necessary for this project_X_ I 0. Do the plans include design loads as required under the IBC or IRC for roof snow loads, (a minimum of 40 pounds per square foot in Garfield County)? Y es_X_ Not necessary for this project __ II. Do the plans include design loads as required for floor loads under the IBC or IRC? Y es_X_ Not necessary for this project __ 12. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes_X_ Not necessary for this project __ 13. Is the wind speed and exposure design included in the plan? Y es_X_ Not necessary for this project __ 14. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes __ Not necessary for this project_X_ 3 15. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Y es_X_ Not necessary for this project __ 16. Does the elevation plan indicate the height of the building or proposed addition from the undisturbed grade to the midpoint between the ridge and eave of a gable or shed roof or the top of a flat roof? (Check applicable zone district for building height maximum) Y es_X_ Not necessary for this project __ 17. Does the plan include any stove or zero clearance fireplace planned for installation including make and model and Colorado Phase II certifications or Phase II EPA certification? Yes __ Not necessary for this project_X_ 18. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IBC or IRC? Yes __ Not necessary for this project __ x_ 19. Does the plan include a window schedule or other verification that egress/rescue windows from sleeping rooms and/or basements comply with the requirements of the IBC or IRC? Yes __ Not necessary for this project_X_ 20. Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes __ Not necessary for this project __ x_ 21. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specifY safety glazing for these areas? Yes __ Not necessary for this project_X_ 22. Do the plans include a complete design for all mechanical systems planned for installation in this building? Yes __ No X Not necessary for this project. __ _ 4 23. Have all areas in the building been accurately identified for the intended use? (Occupancy as identified in the IBC Chapter 3) Yes __ Not necessary for this project X 24. Does the plan indicate the quantity, form, use and storage of any hazardous materials that may be in use in this building? Yes __ Not necessary for this project_x_ 25. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes __ Not necessary for this project_X_ 26. Do the plans indicate the location and dimension of restroom facilities and if more than four employees and both sexes are employed, facilities for both sexes? Yes __ Not necessary for this project __ x_ 27. Do the plans indicate that restrooms and access to the building are handicapped accessible? Yes __ Not necessary for this project_X_ 28. Have two ~2) complete sets of construction drawings been submitted with the application? Yes __ 29. Have you designed or had this plan designed while considering building and other construction code requirements? Yes_X_ 30. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes_x_ 31. Do your plans comply with all zoning rules and regulations in the County related to your zone district? For corner lots see supplemental section 5.05.03 in the Garfield County Zoning Resolution for setbacks. Yes X 32. Do you understand that approval for design and/or construction changes are required prior to the implementation of these changes? Yes_X_ 5 33. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit" fee as well as any "Septic System" or "Road Impact" fees required, at the time you pick up your building permit? Yes X 34. Are you aware that you are required to call for all inspections required under the IBC including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes X 35. Are you aware that the Permit Application must be signed by the Owner or a written authority be given for an Agent and that the party responsible for the project must comply with the Uniform Codes? Yes X 36. Are you aware that you must call in for an inspection by 3:30 the business day before the requested inspection in order to receive it the following business day? Inspections will be made between 7:30 a.m. and 3:30p.m. Monday through Friday. Inspections are to be called in to 384-5003. Yes_x_ 37. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $50.00 re-inspection fee? Yes_x_ 38. Are you aware that prior to submittal of a building permit application you are required to show proof of a legal and adequate access to the site? This may include (but is not limited to) proof of your right to use a private easement/right of way; a County Road and Bridge permit; a Colorado Dept. of Highway Permit including a Notice to Proceed; a permit from the federal government or any combination. You can contact the Road & Bridge Department at 625-860 I. See Phone book for other agencies Yes X 39. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups? The license number will be required at time of inspection. Yes_x_ 40. Are you aware, that on the front of the building permit application you will need to fill in the Parcel/ Schedule Number for the lot you are applying for this permit on prior to submittal of the building permit application? Your attention in this is appreciated. Yes X 41. Do you know that the local fire district may require you to submit plans for their review of fire safety issues? Yes __x_ (Please check with the building department about this requirement) 6 42. Do you understand that if you are planning on doing any excavating or grading to the property prior to issuance of a building permit that you will be required to obtain a grading permit? Yes _X_ Not necessary for this project __ 43. Did an Architect seal the plans for your commercial project? State Law requires any commercial project with occupancy of more than 10 persons as per Section 1004 of the IBC to prepare the plans and specifications for the project. Yes _x_ Not Necessary for this project ____ _ I hereby acknowledge that I have read, understand, and answered these questions to the best of my ability. 1/22/08 Date Phone: 970-625-8433 (days); --'3'-'0'-'3'--'9-'0_2_-_:1:..:5..:3-=2'--_(. evenings) Pr~ectName: Brynildson Water Storage Facility Project Address:NWNW 820, T6S, R92W, 6th P.M. Note: On any of these questions you may be required to provide this information. If required information is not supplied, delays in issuing the permit are to be expected. Work may not proceed without the issuance of the permit. *If you have answered "Not necessary for this project" on any of the questions and it is determined by the Building Official that the information is necessary to review the application and plans to determine minimum compliance with the adopted codes, please expect the following: A. The application may be placed behind more recent applications for building permits in the review process and not reviewed until required information has been provided and the application rotates again to first position for review. B. Delay in issuance of the permit. C. Delay in proceeding with construction. BpcommDec2007 7 PLAN REVIEW CHECKLIST Applicant. _ _,_f2){2~(ff=llN""''<-l\)d""-so~u=--.,-- Building ~ngineered Foundation ~Driveway Permit "'"'.,&_ ~ Surveyed Site Plan '1fV' c;ol ~Septic Permit and Setbacks ~Grade/Topography 30% ~Attach Residential Plan Review List ~Minimum Application Questionnaire . ¥Subdivision Plat Notes ¥ire Department Review __f...LValuation Determination/Fees ~ed Line Plans/Stamps/Sticker ~Attach Conditions LApplication Signed ~Plan Reviewer To Sign Application I V Parcel/Schedule No. 4 40# Snowload Letter-Man£. Hms. GENERAL NOTES: Date_-1-) -~3'-'-1_,-a"'(fu._ __ Planning/Zoning ~roperty Line Setbacks . •:·~Oft Stream Setbacks _blood Plain dBuilding Height ~ing Sign-off ~oad Impact Fees ~HOA/DRC Approval /Grade/Topography 40% LPlanning Issues <SIA.p ttp~teu_,..;l ~Subdivision Plat Notes N 10835 o. ----------~~~----Assessor's Parcel No. 2179-191-00-511 Date 2/8/2008 BUILDING PERMIT CARD Job Address __ _!.R~9~2,_T.!.:6~S::.::e'-!:c:!:20~o::.!ff!..c~rc..:3~1:.::5:.t., :...:R:::.:if.:.::le:__ ____________________ _ Brynilson, Scott & Linda(lease:Antero Owner _____ i'!=rmm~==-~'"'""1--------Address Phone# ., n l'tesomces f'iceance Co1p.) 1625 17tli st, ste360, Dei!Vel, Co 303·357 7;;'1 u Contractor ___ -FEt'C:-IE91el"lc-,ttrilJic~,-ilhmlc-:--------Address 747 l!v'. White Ave, 8.J. Phone # 970-241 3302 Setbacks: Front Rear _____ RH _____ LH Zoning ____ _ storage for water storage facility INSPECTIONS Soils Tes1 -----:,.,--:::--~----::----:7"1"7::---- Footing X J_.tp-¢t( Ji11 _,MD~~ · Aa_,,_ Foundation fr1RM ~ i{,UI<~r (/to~ Grout _____________ __ Underground Plumbing ______ _ Rough Plumbing --------- Framing ____________ -,--- Insulation ------------ Roofing------------- Drywall ------------- Gas Piping------------- ' NOTES Weatherproofing ___________ _ Meehan i cal ______ -.-r---rr---,--,-::===-=',.....,---- Eiectrical Rough (State):¢61=4 7 '?l Electrical Final (State) 1-2..1·-.or Final/-23'-e;?/Checkli~t Completed? ,:5?1??' Ce.rtificate Occupancy # ,_,L£,.,__.1_:1-'-'L?""=-__ -=---- Date l SSU£0 '2.. :b-O'J Septic System # ___________ _ Date ----------------Final ____________ _ Other _______________ __ (continue on back) COUNTY OF GARFIELD -BUILDING DEPARTMENT CORRECTION NOTICE 108 8th St., Suite 401 Glenwood Springs, Colorado Phone (970) 945-8212 Job located at c~ t 3/...s- Permit No. /() g 3¢;--/V8'3.s- I have this day inspected this structure and these premises and found the following corrections needed: 0 Call for Re-lnspection 0 $50.00 Re-lnspection Fee must be paid prior to Re-lnspection You are hereby notified that the above correction must be inspected before covering. When correction(s) have been made, call for inspection at 970-384-5003. Date /a-7-3' ~ 20 CJ g Building Inspector ~f ~,._. Phone (970) 945-8212 WAGON WHEEL CONSULTING CODYW. SMITH 111 E. 3RD STREET, SUITE 213 RIFLE, CO 81650 OFFICE: (970) 625-8433 FAX: (970) 625-8435 CELL: (303) 902-1532 January 30, 2007 Garfield County Building & Planning Department 108 8th Street, Suite 201 Glenwood Springs, CO 81601 RE: Agent Authorization To Whom It May Concern: Wagon Wheel Consulting, Inc. (Cody W. Smith) has been retained by Mr. & Mrs. Scott Brynildsen to request a Garfield County Special Use Permit for a Water Storage Facility to be utilized solely by Antero Resources Piceance Corporation on the Brynildsen Property located Southeast of Rifle, CO. I authorize Wagon Wheel Consulting, Inc. (Cody W. Smith) to act as agent on my behalf. Please contact me at (970) ~~if you have any questions or concerns. <i>U'"· '33'b WAGON WHEEL CONSULTING CODY W. SMITH 111 E. 3RD STREET, SUITE 213 RIFLE, CO 81650 OFFICE: (970) 625-8433 FAX: (970) 625-8435 CELL: (303) 902-1532 January 22, 2008 Garfield County Building & Planning Department I 08 8th Street, Suite 201 Glenwood Springs, CO 81601 RE: Agent Authorization To Whom It May Concern: Wagon Wheel Consulting, Inc. (Cody W. Smith) has been retained by Antero Resources Corporation (Antero) to obtain building permits in association with the Brynildson Water Storage Facility which is utilized solely by Antero on the Brynildsen Property located Southeast of Rifle, CO. I authorize Wagon Wheel Consulting, Inc. (Cody W. Smith) to act as agent on my behalf. Please contact me at (970) 625-9922 if you have any questions or concerns. Sincerely, MEMORANDUM OF SURFACE LEASE AND EASEMENT AGREEMKNT STATE OF COLORADO KNOW AI"L iviEN BY THESE PRESENTS: COUNTY OF GARFIELD Grantor: Scol! llrynilclson and Linda S. Brynildson 1831 Railroad /\venue Rifle. Colorado 81650-3203 Grantee: /\ntcro Resources Piceance Corporation I 625 Seventeenth Street. Suite 300 Denver. Colmado 80202 Effective Date: December I, 2006 Grant of Easement: Grnntor hereby grants, lets, leases and demises to Gnmtce a right-of-way and casement on~ over, through and ncross the Lands necessary to construct operate, maintain, inspect and repair, and reclaim the access road. and Facility, as depicted on Exhibit A. Grantor simultaneously grants lo Grantee a temporary construction and acc"~ss road (25 feet on each side of the center line depicted on Exhibit A), to be used during construction, repair, maintenance, removal or reclamation of the access road, and Facility, including, but not limited to, the right. to dig helo\v the surface of the Lands in order to construct the Facility. The specific terms and conditions of' lhis grant or casement are governed by the SurJ~1ce Lease and Easement Agreement between the Grantor and Grantee dated efrcctivc December I, 2006. Term: This Surtace Lease and Easement Agreement shall continue i(H· a primary tcnn of live (5) years beginning on the EfTcctivc Date, unless sooner terminated by the terms of the Surface Lease and Easement AgreemcnL Grantee may extend this SurfflCe Lease and Easement Agreement one (I) additional 11ve (5) year term, for a maximum lease period ol' I 0 years, by providing writlcn notice of such extension at least JO days prior to expiration of the primary term. Purpose: The purpose or this Memorandum of Surlilce Lease is ro place third parties l)tl notice of the Surf'ncc Lease. If there is any cotrOict. between the provisions oJ' this Memorandum or Surl~1ce Lease and the: Surntec Lease, the pnwisions of the Surf'acc Lease: shall control. GRANTOR: GRANTEE: Alllcro 1\cs(HJrces Piceance Corporation S. flrynildson STATE OF COLOR/d)O COUNTY OF DI:NVCR ACKNOWLEDGMENTS ) s s ) On this 'Z:::Q~day of February 2007, bci\Jre me personally appeared Terrell/\. Dobkins, known to me to be lhc Vice President of Antcro Resources Piceance Corporation and that he cxceutcd the within and foregoing instrument, and acknowledged the said instrument to be the Cree and voluntary act and deed of said corporation. for the uses and purposes therein set forth. IN WfTNr::ss WHEREOF, f have hereunto set my hand and anlxccl my ot'iicial seal the day and year first above written. ~·~-~~J · CE WI"'ITLOCK NOTARY PUBLIC ' tiTATE 0~ COLORADO My Commission Expires Jan. 18, 2010 ST/\TE OF C:OLOR/\DO ) ) § COUNTY 01: G/\RI:II'LD ) The foregoing instrument was acknov.dedgccJ by Scott Brynildson nnd L.inda S. Bryni!dson bcf'orc me lHl this day of February 2007. EXHIBIT A To that certain Memorandum of Surf'ac-: Lease and Easement Agreement dated Lf!Cctivc December I, 2006 between Scott llrynildson and Linda S. Btynildson, as Grantor, and Antcro Resources Piceance Corporation, as Grantee. -Garfield ~endor Nam~ ~d-~s •.• I.Jr:_Vendor Number ~ {,L) =----a 3589 Purchase Order # Special Instructions For Warrant 1/J £. 3~<R .st-. S'"'i+.o: -:tt. ~ P._;-f (<..( Co $' tb '&:, Invoice Vendor Invoice Date Number Fund Dept ~~t<:e-\t-t ~e~\\*fo a .. ~ .. ,j. S i/6b /1 \T:a.~ " 31o~ 1'7 Prepared By: ( ), Department Head Approval: Financial Management Gnide Limits: Sub Dept 010 ' (Needs to be signed by County Administer if Over $10,000) Posted By: Project# (if Line Item Account applicable)_ 1 {_64 Characters or Less)_ S.J',~ I OYJ.5 'D. .... 3'{do 'Zft~!iq.~ ?J:<... ('~~'" tl 015~ ,gt., ~·· -~~ d !()·(~' ~ :?(trf!b¥ DATE:___,V/,__ ~~d.!-:../!:--_ I I DATE: ______ _ Brief Description _ (64 Characters or Less' &:..+t.U -~ A. 9 .-I-. ()'(\ ~·I Total Invoice Accuracy Verified By: ------ 2008 AP Voucher.xls Invoice Do Dar Amount /{)(,,1./~ $ /{)(,._cr~ Parcel Detail Page 1 of3 Garfield County Assessor/Treasurer Parcel Detail Information AssesiiQr/Treasurer PropiTty Search I Assessor SubseiQuery I AssessoLSilles Search Clerk & Res;order ReceptionS~!lfch Basic Billlding Charactexistics I Tax Information Parcel Detail I Value Deti!il I Sales_D~tail I ResidentiaJ!S::ommercial Irn,proyement Detail Land Detail I Photographs I Tax Area II Account Number II Parcel Number II 2007 Mill Levy I I o24 II R247115 II 217919100511 II 45.837 I Owner Name and Mailing Address IBRYNILDSON, SCOTT w. & LINDA s. I 11831 RAILROAD AVE I !RIFLE, CO 81650-3203 I Legal Description . lsECT,TWN,RNG:19-6-92 DESC: SEC.l8 I !SESE, SEC.19 LOT 2(48.48AC), N2NE, I lsWNE·DESC: SEC.20 N2NW, SENW I IPRE:R024492 RECPT:735030 I IRECPT:730695 BK:1946 PG:182 I IRECPT:727166 BK:1612 PG:129 IRECPT:657508 BK:1612 PG:121 IRECPT:657507 BK:0931 PG:0569 IBK:0591 PG:0337 Location Physical Address: llsiLT I Subdivision: I Land Acres: 11328.48 I Land Sq Ft: lio II II http:/ /www.garcoact.com/assessor/parcel.asp?Parce1Number=2179191 00511 1/23/2008 Parcel Detail Page 2 of3 1 \i===Se=cti=on"===n\\= ==To~w=nsh~ip"===l\~===R=an~ge==i\1 I 19 II 6 II 92 I 2007 Property Tax Valuation Information II Actual Value II Assessed Value I I Land: II 1,84011 5301 I Improvements: \1 oil 0 I Total: II 1,84011 5301 Sale Date: 11112011995 Sale Price: 11170,000 Basic Building Characteristics Number of Residential 0 Buildings: Number of Commllnd 0 Buildings: No Building Records Found Tax Information I Tax Year II Transaction Type II Amount I I 2007 II Tax Amount II $24.281 I 2006 II Tax Payment: Whole II ($24.24)1 I 2006 II Tax Amount II $24.24) I 2005 II Tax Payment: Whole II ($24.34)) I 2005 II Tax Amount II $24.341 I 2004 II Tax Payment: Whole II ($27.78)1 I 2004 II Tax Amount II $27.781 I 2003 I Tax Payment: Whole II ($30.90)j 2003 Tax Amount II $30.90j 2002 Tax Payment: Whole II ($29.20)1 2002 I Tax Amount II $29.20/ 2001 II Tax Payment: Whole II ($29.82)1 I 2001 II Tax Amount II $29.821 I 2000 II Tax Payment: Whole II ($31.78)1 I 2000 II Tax Amount II $31.781 II II http:/ /www.garcoact.com/assessor/parcel.asp?ParcelNumber=2179191 00511 1123/2008 Parcel Detail I 1999 II Interest Payment II ($0.32)1 I 1999 II Interest Charge II $0.321 I 1999 II Tax Payment: Whole II ($31.88)1 I 1999 II Tax Amount II $31.881 To12 ofPagS< Assessor D!ll~ba~~el)fch 0j2tions I Treas..ureLDat<J.base Search 012tions Clerk & Recorder Database Sellfch_QJ)tions Page 3 of3 The Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Turns Software and the Garfield County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2005 -2008 Good Turns Software. All Rights Reserved. Database & Web Design by GoodTurnsJ~gftware. http:/ /www.garcoact.com/assessor/parcel.asp?ParcelNurnber=2179191 00511 1123/2008